The opportunistic screening of refractive errors in school-going children by pediatrician using enhanced Brückner test
Aim: The aim of this study was to compare the results of enhanced Brückner test (EBT) performed by a pediatrician and an experienced pediatric ophthalmologist. Subjects and Methods: In this prospective double-masked cohort study, a pediatrician and a pediatric ophthalmologist performed the EBT in a...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2016-01-01
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| Series: | Indian Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2016;volume=64;issue=10;spage=733;epage=736;aulast=Jain |
| _version_ | 1818889454521155584 |
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| author | Piyush Jain Mihir T Kothari Vaibhav Gode |
| author_facet | Piyush Jain Mihir T Kothari Vaibhav Gode |
| author_sort | Piyush Jain |
| collection | DOAJ |
| description | Aim: The aim of this study was to compare the results of enhanced Brückner test (EBT) performed by a pediatrician and an experienced pediatric ophthalmologist. Subjects and Methods: In this prospective double-masked cohort study, a pediatrician and a pediatric ophthalmologist performed the EBT in a classroom of a school in semi-dark lighting condition using a direct ophthalmoscope. The results of the test were compared using 2 × 2 Bayesian table and kappa statistics. The findings of the pediatric ophthalmologists were considered gold standard. Results: Two hundred and thirty-six eyes of 118 subjects, mean age 6.8 ± 0.5 years (range, 5.4–7.8 years), were examined. The time taken to complete this test was <10 s per subject. The ophthalmologist identified 59 eyes as ametropic (12 hyperopic and 47 myopic eyes) and 177 as emmetropic compared to 61 eyes as ametropic and 175 emmetropic by pediatrician. The prevalence of the test positive was 25.9%. The sensitivity of the pediatrician was 90.2%, specificity was 97.7%, predictive value of the positive test was 93.2%, and predictive value of the negative test was 96.6%. The clinical agreement (kappa) between the pediatric ophthalmologist and the pediatrician was 0.9. Conclusion: The results of the EBT performed by pediatrician were comparable to that of an experienced pediatric ophthalmologist. Opportunistic screening of refractive errors using EBT by a pediatrician can be an important approach in the detection of ametropia in children. |
| first_indexed | 2024-12-19T17:09:17Z |
| format | Article |
| id | doaj.art-7953f5c0bf3045ada6d9e054b0ec48d6 |
| institution | Directory Open Access Journal |
| issn | 0301-4738 1998-3689 |
| language | English |
| last_indexed | 2024-12-19T17:09:17Z |
| publishDate | 2016-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj.art-7953f5c0bf3045ada6d9e054b0ec48d62022-12-21T20:13:04ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892016-01-01641073373610.4103/0301-4738.195020The opportunistic screening of refractive errors in school-going children by pediatrician using enhanced Brückner testPiyush JainMihir T KothariVaibhav GodeAim: The aim of this study was to compare the results of enhanced Brückner test (EBT) performed by a pediatrician and an experienced pediatric ophthalmologist. Subjects and Methods: In this prospective double-masked cohort study, a pediatrician and a pediatric ophthalmologist performed the EBT in a classroom of a school in semi-dark lighting condition using a direct ophthalmoscope. The results of the test were compared using 2 × 2 Bayesian table and kappa statistics. The findings of the pediatric ophthalmologists were considered gold standard. Results: Two hundred and thirty-six eyes of 118 subjects, mean age 6.8 ± 0.5 years (range, 5.4–7.8 years), were examined. The time taken to complete this test was <10 s per subject. The ophthalmologist identified 59 eyes as ametropic (12 hyperopic and 47 myopic eyes) and 177 as emmetropic compared to 61 eyes as ametropic and 175 emmetropic by pediatrician. The prevalence of the test positive was 25.9%. The sensitivity of the pediatrician was 90.2%, specificity was 97.7%, predictive value of the positive test was 93.2%, and predictive value of the negative test was 96.6%. The clinical agreement (kappa) between the pediatric ophthalmologist and the pediatrician was 0.9. Conclusion: The results of the EBT performed by pediatrician were comparable to that of an experienced pediatric ophthalmologist. Opportunistic screening of refractive errors using EBT by a pediatrician can be an important approach in the detection of ametropia in children.http://www.ijo.in/article.asp?issn=0301-4738;year=2016;volume=64;issue=10;spage=733;epage=736;aulast=JainMass screeningophthalmoscoperefractive error |
| spellingShingle | Piyush Jain Mihir T Kothari Vaibhav Gode The opportunistic screening of refractive errors in school-going children by pediatrician using enhanced Brückner test Indian Journal of Ophthalmology Mass screening ophthalmoscope refractive error |
| title | The opportunistic screening of refractive errors in school-going children by pediatrician using enhanced Brückner test |
| title_full | The opportunistic screening of refractive errors in school-going children by pediatrician using enhanced Brückner test |
| title_fullStr | The opportunistic screening of refractive errors in school-going children by pediatrician using enhanced Brückner test |
| title_full_unstemmed | The opportunistic screening of refractive errors in school-going children by pediatrician using enhanced Brückner test |
| title_short | The opportunistic screening of refractive errors in school-going children by pediatrician using enhanced Brückner test |
| title_sort | opportunistic screening of refractive errors in school going children by pediatrician using enhanced bruckner test |
| topic | Mass screening ophthalmoscope refractive error |
| url | http://www.ijo.in/article.asp?issn=0301-4738;year=2016;volume=64;issue=10;spage=733;epage=736;aulast=Jain |
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